*When setting expectations with patients, please remember to never guarantee coverage of ORILISSA.
Eligible patients may pay as little as $5 a month with the ORILISSA Savings Card.†
Patients can activate their savings card by visiting ORILISSA.com/savings.
Select number of savings cards to download:
Or send your patients a link to sign up for an ORILISSA Savings Card.
If you continue to experience challenges with initial access to ORILISSA, Ori for Me offers additional resources to support patients with prior authorizations and appeals. AbbVie may be able to help eligible patients with options for expedited access to ORILISSA.
Verify coverage for ORILISSA
Provide information on prior authorization for ORILISSA
Provide information on submitting medical exception requests and appeals
Help patients with limited resources access ORILISSA through Patient Assistance Program‡
1-833-674-5477 (ORILISSA) (physician only)
(Available Fall 2018)
If your staff has questions about your patients’ ORILISSA prescriptions, they can call us at 1-844-674-3676 (1-844-ORIFORME) or visit ORILISSA.com. We’re here to provide your practice with the support and information you may need about ORILISSA.
†Available to patients with commercial prescription insurance coverage for ORILISSA™ (elagolix) who meet eligibility criteria. Copay assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the ORILISSA Savings Card and patient must call Ori for Me™ at 1-844-OriForMe (1-844-674-3676) to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from Ori for Me from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums (maximum benefit of $200), may apply. This is not health insurance. Please see full Terms and Conditions.
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